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  1. Guideline for prevention of retained surgical items. | PSNet

    psnet.ahrq.gov/issue/guideline-prevention-retained-surgical-items
    April 26, 2023 - Commentary Guideline for prevention of retained surgical items. Citation Text: Putnam K. Guideline for prevention of retained surgical items. AORN J. 2015;102(6):P11-P13. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  2. Implementing AORN recommended practices for prevention of retained surgical items. | PSNet

    psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-prevention-retained-surgical-items
    January 05, 2017 - Commentary Implementing AORN recommended practices for prevention of retained surgical items. Citation Text: Goldberg JL, Feldman DL. Implementing AORN recommended practices for prevention of retained surgical items. AORN J. 2012;95(2):205-16; quiz 217-9. doi:10.1016/j.aorn.2011.11.010…

  3. Medication, allergy, and adverse drug event discrepancies in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/medication-allergy-and-adverse-drug-event-discrepancies-ambulatory-care
    July 13, 2022 - Study Medication, allergy, and adverse drug event discrepancies in ambulatory care. Citation Text: Stephens M, Fox B, Kukulka G, et al. Medication, allergy, and adverse drug event discrepancies in ambulatory care. Fam Med. 2008;40(2):107-10. Copy Citation Format: Google S…

  4. Effective discharge communication in the emergency department. | PSNet

    psnet.ahrq.gov/issue/effective-discharge-communication-emergency-department
    January 24, 2024 - Review Effective discharge communication in the emergency department. Citation Text: Samuels-Kalow ME, Stack AM, Porter SC. Effective discharge communication in the emergency department. Ann Emerg Med. 2012;60(2):152-9. doi:10.1016/j.annemergmed.2011.10.023. Copy Citation Format:…

  5. Critical laboratory value notification: a failure mode effects and criticality analysis. | PSNet

    psnet.ahrq.gov/issue/critical-laboratory-value-notification-failure-mode-effects-and-criticality-analysis
    June 27, 2018 - Commentary Critical laboratory value notification: a failure mode effects and criticality analysis. Citation Text: Saxena S, Kempf R, Wilcox S, et al. Critical laboratory value notification: a failure mode effects and criticality analysis. Jt Comm J Qual Patient Saf. 2005;31(9):495-506…

  6. Management of a patient with a latex allergy. | PSNet

    psnet.ahrq.gov/issue/management-patient-latex-allergy
    June 21, 2017 - Commentary Management of a patient with a latex allergy. Citation Text: Minami CA, Barnard C, Bilimoria KY. Management of a Patient With a Latex Allergy. JAMA. 2017;317(3):309-310. doi:10.1001/jama.2016.20034. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  7. Can you prevent adverse drug events after hospital discharge? | PSNet

    psnet.ahrq.gov/issue/can-you-prevent-adverse-drug-events-after-hospital-discharge
    September 09, 2009 - Commentary Can you prevent adverse drug events after hospital discharge? Citation Text: Forster AJ. Can you prevent adverse drug events after hospital discharge? CMAJ. 2006;174(7):921-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

  8. Safety skills for clinicians: an essential component of patient safety. | PSNet

    psnet.ahrq.gov/issue/safety-skills-clinicians-essential-component-patient-safety
    June 01, 2012 - Review Safety skills for clinicians: an essential component of patient safety. Citation Text: Taylor-Adams S, Brodie A, Vincent CA. Safety Skills for Clinicians. J Patient Saf. 2008;4(3):141-147. doi:10.1097/pts.0b013e3181809631. Copy Citation Format: DOI Google Scholar B…

  9. Surgical adverse events: a systematic review. | PSNet

    psnet.ahrq.gov/issue/surgical-adverse-events-systematic-review
    June 01, 2012 - Review Surgical adverse events: a systematic review. Citation Text: Anderson O, Davis R, Hanna GB, et al. Surgical adverse events: a systematic review. Am J Surg. 2013;206(2):253-62. doi:10.1016/j.amjsurg.2012.11.009. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  10. Office-based surgery and patient outcomes. | PSNet

    psnet.ahrq.gov/issue/office-based-surgery-and-patient-outcomes
    October 06, 2021 - Review Office-based surgery and patient outcomes. Citation Text: Young S, Shapiro FE, Urman RD. Office-based surgery and patient outcomes. Curr Opin Anaesthesiol. 2018;31(6):707-712. doi:10.1097/ACO.0000000000000655. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  11. Importance of teamwork, communication and culture on failure-to-rescue in the elderly. | PSNet

    psnet.ahrq.gov/issue/importance-teamwork-communication-and-culture-failure-rescue-elderly
    April 04, 2011 - Review Importance of teamwork, communication and culture on failure-to-rescue in the elderly. Citation Text: Ghaferi AA, Dimick JB. Importance of teamwork, communication and culture on failure-to-rescue in the elderly. Br J Surg. 2016;103(2):e47-51. doi:10.1002/bjs.10031. Copy Citation…

  12. Nursing peer review: developing a framework for patient safety. | PSNet

    psnet.ahrq.gov/issue/nursing-peer-review-developing-framework-patient-safety
    January 15, 2020 - Commentary Nursing peer review: developing a framework for patient safety. Citation Text: Diaz L. Nursing peer review: developing a framework for patient safety. J Nurs Adm. 2008;38(11):475-9. doi:10.1097/01.NNA.0000339473.27349.28. Copy Citation Format: DOI Google Schola…

  13. Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. | PSNet

    psnet.ahrq.gov/issue/smart-pumps-practice-survey-results-reveal-widespread-use-optimization-challenging
    December 27, 2018 - Newspaper/Magazine Article Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. Citation Text: Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. ISMP Medication Safety Alert! Acute Care Edition. Apri…

  14. Common Formats for Patient Safety Data Collection. | PSNet

    psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection
    October 08, 2024 - Press Release/Announcement Common Formats for Patient Safety Data Collection. Citation Text: Common Formats for Patient Safety Data Collection. Agency for Healthcare Research and Quality. Fed Register. Mar 6, 2024;89(45);15992. Copy Citation Save Save to your li…

  15. Chemotherapy dose limits set by users of a computer order entry system. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-dose-limits-set-users-computer-order-entry-system
    August 13, 2008 - Study Chemotherapy dose limits set by users of a computer order entry system. Citation Text: Chemotherapy dose limits set by users of a computer order entry system. DuBeshter B; Griggs J; Angel C; Loughner J. Copy Citation Save Save to your library Print …

  16. Surveillance: a strategy for improving patient safety in acute and critical care units. | PSNet

    psnet.ahrq.gov/issue/surveillance-strategy-improving-patient-safety-acute-and-critical-care-units
    September 27, 2016 - Commentary Surveillance: a strategy for improving patient safety in acute and critical care units. Citation Text: Henneman EA, Gawlinski A, Giuliano KK. Surveillance: A strategy for improving patient safety in acute and critical care units. Crit Care Nurse. 2012;32(2):e9-18. doi:10.403…

  17. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift. | PSNet

    psnet.ahrq.gov/issue/nursing-handovers-resilient-points-care-linking-handover-strategies-treatment-errors-patient
    August 30, 2017 - Study Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift. Citation Text: Drach-Zahavy A, Hadid N. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the p…

  18. Certified pharmacy technicians' views on their medication preparation errors and educational needs. | PSNet

    psnet.ahrq.gov/issue/certified-pharmacy-technicians-views-their-medication-preparation-errors-and-educational
    June 03, 2015 - Study Certified pharmacy technicians' views on their medication preparation errors and educational needs. Citation Text: Desselle SP. Certified pharmacy technicians' views on their medication preparation errors and educational needs. Am J Health Syst Pharm. 2005;62(19):1992-7. Copy Cit…

  19. Staying safe: simple tools for safe surgery. | PSNet

    psnet.ahrq.gov/issue/staying-safe-simple-tools-safe-surgery
    August 02, 2015 - Commentary Staying safe: simple tools for safe surgery. Citation Text: Karl RC. Staying safe: simple tools for safe surgery. Bull Am Coll Surg. 2007;92(4):16-22. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  20. Reducing Adverse Drug Events Related to Opioids Implementation Guide. | PSNet

    psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
    January 26, 2022 - Toolkit Reducing Adverse Drug Events Related to Opioids Implementation Guide. Citation Text: Reducing Adverse Drug Events Related to Opioids Implementation Guide. Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015. Copy Citation …
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